14 results
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Consider BCx, CSF ... evaluation as 5 ... diagnosed with CXR ... SeriousBacterialIllness #Ddxof
Heart Failure Medications Summary
Inhibitors of the Renin-Angiotensin System:
 • ACE Inhibitors: Benazepril, Captopril, Enalapril, Lisinopril, Quinapril,
Vasodilators: Acute ... Positive Inotropes: Acutely ... #Medications #CHF ... #cardiology #pharmacology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
(Sens. 81% for acute ... effusions). 1/5 pts w/ acute ... CXR congestion. ... endomyocardial biopsy Pharmacology ... #pharmacology #
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute ... HF, Cardiogenic ... precipitating agent ... diagnosis #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Management Checklist Evaluation ... drained if causing acute ... weak inotropic agent ... treatment for acute ... #Checklist #CHF
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... • 3rd line agent ... Rate #Control #pharmacology ... #management #cardiology ... #AFib #Acute
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 • Receptors: β1
 • Indications: Rate control of a-fib/a-flutter, Suppression
Beta Blockers - Pharmacology ... Stable angina, Acute ... in pt w/o CAD/HF ... Beta #Blockers #Pharmacology ... Table #Receptors #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... neck veins, • Absence ... ischemic changes CXR ... Etiology: • Acute ... differential #diagnosis #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... are excellent at evaluating ... Cardiac cath if acute ... #heartfailure #chf ... icu #clinical #pharmacology
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
permeability or acute ... #Clinical #Radiology ... #CXR #CHF #Vascular